Rating Scales for Social-Emotional Behavior and Development



Advances in our understanding of early childhood psychopathology have led to an increase in reliable, valid, and developmentally appropriate rating scales for infants, toddlers, and preschoolers. Caregiver-reported rating scales are helpful to the assessment process because they allow for the standardized gathering of information from the people who know the most about the child’s behavior. In this chapter we discuss the use of adult-report rating scales, including both comprehensive measures and brief screeners, in the clinical assessment of social-emotional and behavioral functioning among children from birth to 5 years of age (“young children”). We review the strengths and limitations of rating scales in clinical assessment, how to select informants and gather information, and the importance of contextual and cultural factors in the selection and interpretation of rating scales. Next we describe the goals and contexts of clinical assessment and how these factors impact the clinical utility of rating scales. We provide guidelines for selecting measures, assessing psychometric properties, and interpreting results. The chapter concludes with a case vignette.


  1. Achenbach, T. M. (1966). The classification of children’s psychiatric symptoms: A factor-analytic study. Psychological Monographs, 80(7), 1–37.CrossRefGoogle Scholar
  2. Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101(2), 213–232.CrossRefGoogle Scholar
  3. Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms and profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.Google Scholar
  4. Achenbach, T. M. (2011). Commentary: Definitely more than measurement error: But how should we understand and deal with informant discrepancies? Journal of Clinical Child and Adolescent Psychology, 40(1), 80–86. Scholar
  5. Allen, S. F. (2007). Assessing the development of young children in child care: A survey of formal assessment practices in one state. Early Childhood Education Journal, 34(6), 455–465. Scholar
  6. Baillargeon, R. H., Zoccolillo, M., Keenan, K., Côté, S., Pérusse, D., Wu, H.-X., et al. (2007). Gender differences in physical aggression: A prospective population-based survey of children before and after 2 years of age. Developmental Psychology, 43(1), 13–26. Scholar
  7. Bayley, N. (2005). Bayley Scales of Infant and Toddler Development®, third edition (Bayley-III®). London: Pearson.Google Scholar
  8. Ben-Sasson, A., Carter, A. S., & Briggs-Gowan, M. J. (2009). Sensory over-responsivity in elementary school: Prevalence and social-emotional correlates. Journal of Abnormal Child Psychology, 37(5), 705–716. Scholar
  9. Ben-Sasson, A., Soto, T. W., Heberle, A. E., Carter, A. S., & Briggs-Gowan, M. J. (2017). Early and concurrent features of ADHD and sensory over-responsivity symptom clusters. Journal of Attention Disorders, 21(10), 835–845. Scholar
  10. Bornstein, M. H. (2004). “Who is sitting across from me?” Immigrant mothers’ knowledge of parenting and children’s development. Pediatrics, 114(5), e557–e564. Scholar
  11. Bornstein, M. H., Cote, L. R., Haynes, O. M., Hahn, C. S., & Park, Y. (2010). Parenting knowledge: Experiential and sociodemographic factors in European American mothers of young children. Developmental Psychology, 46(6), 1677–1693. Scholar
  12. Briere, J. N. (1999). Trauma symptom checklist for young children (TSCYC). Torrance, CA: WPS.Google Scholar
  13. Briggs-Gowan, M. J., Carter, A. S., & Schwab-Stone, M. (1996). Discrepancies among mother, child, and teacher reports: Examining the contributions of maternal depression and anxiety. Journal of Abnormal Child Psychology, 24(6), 749–765.CrossRefGoogle Scholar
  14. Briggs-Gowan, M. J., & Carter, A. S. (2008). Social-emotional screening status in early childhood predicts elementary school outcomes. Pediatrics, 121(5), 957–962. Scholar
  15. Briggs-Gowan, M. J., Carter, A. S., Irwin, J. R., Wachtel, K., & Cicchetti, D. V. (2004). The brief infant-toddler social and emotional assessment: Screening for social-emotional problems and delays in competence. Journal of Pediatric Psychology, 29(2), 143–155. Scholar
  16. Briggs-Gowan, M. J., Ford, J. D., Fraleigh, L., McCarthy, K., & Carter, A. S. (2010). Prevalence of exposure to potentially traumatic events in a healthy birth cohort of very young children in the northeastern United States. Journal of Traumatic Stress, 23(6), 725–733. Scholar
  17. Brown, J. D., Riley, A. W., & Wissow, L. S. (2007). Identification of youth psychosocial problems during pediatric primary care visits. Administration and Policy in Mental Health, 34(3), 269–281. Scholar
  18. Carlson, C. (1990). Assessing the family context. In Handbook of psychological and educational assessment of children: Personality, behavior, and context. New York, NY: Guilford Press.Google Scholar
  19. Carter, A. S., & Briggs-Gowan, M. J. (2006). Infant Toddler Social Emotional Assessment (ITSEA): Examiner’s manual. San Antonio, TX: PsychCorp: Harcourt Assessment.Google Scholar
  20. Carter, A. S., Briggs-Gowan, M. J., & Davis, N. O. (2004). Assessment of young children’s social-emotional development and psychopathology: Recent advances and recommendations for practice. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 45(1), 109–134.CrossRefGoogle Scholar
  21. Carter, A. S., Briggs-Gowan, M. J., Jones, S. M., & Little, T. D. (2003). The Infant-Toddler Social and Emotional Assessment (ITSEA): Factor structure, reliability, and validity. Journal of Abnormal Child Psychology, 31(5), 495–514.CrossRefGoogle Scholar
  22. Carter, A. S., Marakovitz, S. E., & Sparrow, S. S. (2015). Comprehensive psychological assessment: A developmental psychopathology approach for clinical and applied research. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology (pp. 181–210). Hoboken, NJ: John Wiley & Sons, Inc. Scholar
  23. Centers for Disease Control and Prevention. (2017). WIC and other family service providers. Atlanta, GA: Centers for Disease Control and Prevention. Retrieved from Scholar
  24. Chilcoat, H. D., & Breslau, N. (1997). Does psychiatric history bias mothers’ reports? An application of a new analytic approach. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 971–979. Scholar
  25. Cicchetti, D. V. (1994). Multiple comparison methods: establishing guidelines for their valid application in neuropsychological research. Journal of Clinical & Experimental Neuropsychology: Official Journal of the International Neuropsychological Society, 16(1):155–61.Google Scholar
  26. Cicchetti, D. V., & Sparrow, S. A. (1981). Developing criteria for establishing interrater reliability of specific items: Applications to assessment of adaptive behavior. American Journal of Mental Deficiency, 86(2), 127–137.PubMedGoogle Scholar
  27. Cicchetti, D. V., Volkmar, F., Klin, A., & Showalter, D. (1995). Diagnosing autism using ICD-10 criteria: A comparison of neural networks and standard multivariate procedures. Child Neuropsychology, 1(1), 26–37.CrossRefGoogle Scholar
  28. Clark, R., Tluczek, A., & Gallagher, K. C. (2004). Assessment of parent-child early relational disturbances. In R. DelCarmen-Wiggins & A. S. Carter (Eds.), Handbook of infant, toddler, and preschool mental health assessment. Oxford: Oxford University Press.Google Scholar
  29. Committee on Children with Disabilities. (2001). Developmental surveillance and screening of infants and young children. Pediatrics, 108(1), 192–195. Scholar
  30. Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health. (2009). Policy statement – The future of pediatrics: Mental health competencies for pediatric primary care. Pediatrics, 124(1), 410–421. Scholar
  31. Connors, C. K. (2009). Connors early childhood. Torrance, CA: WPS.Google Scholar
  32. Cronbach, L.J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334.Google Scholar
  33. DC:0-5™ Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood. (2016). Washington, DC: ZERO TO THREE.Google Scholar
  34. De Los Reyes, A. (2013). Strategic objectives for improving understanding of informant discrepancies in developmental psychopathology research. Development and Psychopathology, 25(3), 669–682. Scholar
  35. De Los Reyes, A., & Kazdin, A. E. (2006). Informant discrepancies in assessing child dysfunction relate to dysfunction within mother-child interactions. Journal of Child and Family Studies, 15(5), 643–661. Scholar
  36. De Los Reyes, A., Youngstrom, E. A., Swan, A. J., Youngstrom, J. K., Feeny, N. C., & Findling, R. L. (2011). Informant discrepancies in clinical reports of youths and interviewers’ impressions of the reliability of informants. Journal of Child and Adolescent Psychopharmacology, 21(5), 417–424. Scholar
  37. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). (2013). American Psychiatric Association.Google Scholar
  38. Dirks, M. A., De Los Reyes, A., Briggs-Gowan, M., Cella, D., & Wakschlag, L. S. (2012). Annual research review: Embracing not erasing contextual variability in children’s behavior—Theory and utility in the selection and use of methods and informants in developmental psychopathology. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 53(5), 558–574. Scholar
  39. De Los Reyes, A. (2011). Introduction to the special section: More than measurement error: Discovering meaning behind informant discrepancies in clinical assessments of children and adolescents. Journal of Clinical Child and Adolescent Psychology, 40(1), 1–9. Scholar
  40. Egger, H., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47(3–4), 313–337.CrossRefGoogle Scholar
  41. Egger, H. L., Erkanli, A., Keeler, G., Potts, E., Walter, B. K., & Angold, A. (2006). Test-retest reliability of the preschool age psychiatric assessment (PAPA). Journal of the American Academy of Child and Adolescent Psychiatry, 45(5), 538–549. Scholar
  42. Einfeld, S. L., Piccinin, A. M., Mackinnon, A., Hofer, S. M., Taffe, J., Gray, K. M., et al. (2006). Psychopathology in young people with intellectual disability. JAMA, 296(16), 1981–1989. Scholar
  43. Ellingson, K. D., Briggs-Gowan, M. J., Carter, A. S., & Horwitz, S. M. (2004). Parent identification of early emerging child behavior problems: Predictors of sharing parental concern with health providers. Archives of Pediatrics & Adolescent Medicine, 158(8), 766–772. Scholar
  44. Ellis Simmons, R. (2014). Co-resident grandparents and their grandchildren: 2012 (Current population reports). Washington, DC: U.S. Census Bureau.Google Scholar
  45. Eyberg, S. M., & Ross, A. W. (1978). Assessment of child behavior problems: The validation of a new inventory. Journal of Clinical Child Psychology, 7(2), 113–116. Scholar
  46. Garner, A. S., Shonkoff, J. P., & Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. (2012). Early childhood adversity, toxic stress, and the role of the pediatrician: Translating developmental science into lifelong health. Pediatrics, 129(1), e224–e231. Scholar
  47. Glascoe, F. P. (2003). Parents’ evaluation of developmental status: How well do parents’ concerns identify children with behavioral and emotional problems? Clinical Pediatrics, 42(2), 133–138. Scholar
  48. Gleason, M. M., Zeanah, C. H., & Dickstein, S. (2010). Recognizing young children in need of mental health assessment: Development and preliminary validity of the early childhood screening assessment. Infant Mental Health Journal, 31(3), 335–357. Scholar
  49. Godoy, L., & Carter, A. S. (2013). Identifying and addressing mental health risks and problems in primary care pediatric settings: A model to promote developmental and cultural competence. American Journal of Orthopsychiatry, 83(1), 73–88. Scholar
  50. Godoy, L., Carter, A. S., Silver, R. B., Dickstein, S., & Seifer, R. (2014). Mental health screening and consultation in primary care: The role of child age and parental concerns [corrected]. Journal of Developmental and Behavioral Pediatrics, 35(5), 334–343. Scholar
  51. Godoy, L., Mian, N. D., Eisenhower, A. S., & Carter, A. S. (2014). Pathways to service receipt: Modeling parent help-seeking for childhood mental health problems. Administration and Policy in Mental Health, 41(4), 469–479. Scholar
  52. Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 38(5), 581–586.CrossRefGoogle Scholar
  53. Gray, S. A. O., Carter, A. S., Briggs-Gowan, M. J., Hill, C., Danis, B., Keenan, K., et al. (2012). Preschool children’s observed disruptive behavior: Variations across sex, interactional context, and disruptive psychopathology. Journal of Clinical Child and Adolescent Psychology, 41(4), 499–507. Scholar
  54. Hayden, L. C., Schiller, M., Dickstein, S., Seifer, R., Sameroff, A. J., Miller, I., et al. (1998). Levels of family assessment: I. Family, marital, and parent–child interaction. Journal of Family Psychology, 12(1), 7–22.CrossRefGoogle Scholar
  55. Heberle, A. E., Thomas, Y. M., Wagmiller, R. L., Briggs-Gowan, M. J., & Carter, A. S. (2014). The impact of neighborhood, family, and individual risk factors on toddlers’ disruptive behavior. Child Development, 85(5), 2046–2061. Scholar
  56. Henrichs, J., Rescorla, L., Donkersloot, C., Schenk, J. J., Raat, H., Jaddoe, V. W. V., et al. (2013). Early vocabulary delay and behavioral/emotional problems in early childhood: The generation R study. Journal of Speech, Language, and Hearing Research, 56(2), 553–566. Scholar
  57. Hensley, M. L., & Spriggs, D. R. (2004). Cancer screening: How good is good enough. Journal of Clinical Oncology, 22(20), 4037–4039. Scholar
  58. Horwitz, S. M., Gary, L. C., Briggs-Gowan, M. J., & Carter, A. S. (2003). Do needs drive services use in young children? Pediatrics, 112(6 Pt 1), 1373–1378.CrossRefGoogle Scholar
  59. Horwitz, S. M., Kelleher, K. J., Stein, R. E. K., Storfer-Isser, A., Youngstrom, E. A., Park, E. R., et al. (2007). Barriers to the identification and management of psychosocial issues in children and maternal depression. Pediatrics, 119(1), e208–e218. Scholar
  60. Kamphaus, R. W., & Reynolds, C. R. (2015). BASC-3 behavioral and emotional screening system. London: Pearson.Google Scholar
  61. Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. The American Journal of Psychiatry, 159(9), 1548–1555. Scholar
  62. Keenan, K., & Wakschlag, L. S. (2000). More than the terrible twos: The nature and severity of behavior problems in clinic-referred preschool children. Journal of Abnormal Child Psychology, 28(1), 33–46.CrossRefGoogle Scholar
  63. Kerr, D. C. R., Lunkenheimer, E. S., & Olson, S. L. (2007). Assessment of child problem behaviors by multiple informants: A longitudinal study from preschool to school entry. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 48(10), 967–975. Scholar
  64. King, T. M., Tandon, S. D., Macias, M. M., Healy, J. A., Duncan, P. M., Swigonski, N. L., et al. (2010). Implementing developmental screening and referrals: Lessons learned from a national project. Pediatrics, 125(2), 350–360. Scholar
  65. Kraemer, H. C., Measelle, J. R., Ablow, J. C., Essex, M. J., Boyce, W. T., & Kupfer, D. J. (2003). A new approach to integrating data from multiple informants in psychiatric assessment and research: Mixing and matching contexts and perspectives. The American Journal of Psychiatry, 160(9), 1566–1577. Scholar
  66. Landis, J. R., Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.Google Scholar
  67. Luby, J. L., Heffelfinger, A., Koenig-McNaught, A. L., Brown, K., & Spitznagel, E. (2004). ThePreschool Feelings Checklist: A brief and sensitive screening measure for depression in young children. Journal of the American Academy of Child and Adolescent Psychiatry, 43(6), 708–717. Scholar
  68. McGoey, K. E., DuPaul, G. J., Haley, E., & Shelton, T. L. (2007). Parent and teacher ratings of attention-deficit/hyperactivity disorder in preschool: The ADHD rating scale-IV preschool version. Journal of Psychopathology and Behavioral Assessment, 29(4), 269–276.CrossRefGoogle Scholar
  69. Mian, N. D., Godoy, L., Eisenhower, A. S., Heberle, A. E., & Carter, A. S. (2016). Prevention services for externalizing and anxiety symptoms in low-income children: The role of parent preferences in early childhood. Prevention Science, 17(1), 83–92. Scholar
  70. Mian, N. D., Wainwright, L., Briggs-Gowan, M. J., & Carter, A. S. (2011). An ecological risk model for early childhood anxiety: The importance of early child symptoms and temperament. Journal of Abnormal Child Psychology, 39(4), 501–512. Scholar
  71. Morgan, P. L., Farkas, G., Tufis, P. A., & Sperling, R. A. (2008). Are reading and behavior problems risk factors for each other? Journal of Learning Disabilities, 41(5), 417–436. Scholar
  72. Mullen, E. M. (1995). Mullen scales of early learning. Torrance, CA: WPS.Google Scholar
  73. Milgrom, J., Mendelsohn, J., Gemmill, A.W. (2011). Does postnatal depression screening work? Throwing out the bathwater, keeping the baby. Journal of Affective Disorders, 132(3), 301–310.Google Scholar
  74. Najman, J. M., Williams, G. M., Nikles, J., Spence, S., Bor, W., O’Callaghan, M., et al. (2000). Mothers’ mental illness and child behavior problems: Cause-effect association or observation bias? Journal of the American Academy of Child and Adolescent Psychiatry, 39(5), 592–602. Scholar
  75. Nikapota, A. (2009). Cultural issues in child assessment. Child and Adolescent Mental Health, 14(4), 200–206. Scholar
  76. Nunnally, J. C. (1978). Psychometric theory. New York, NY: McGraw-Hill Publishing Co.Google Scholar
  77. Perrin, E. C., Sheldrick, R. C., Visco, Z., & Mattern, K. (2016). The survey of well-being of young children (SWYC) user’s manual. Boston, MA: Tufts Medical Center.Google Scholar
  78. Petitclerc, A., Briggs-Gowan, M. J., Estabrook, R., Burns, J. L., Anderson, E. L., McCarthy, K. J., et al. (2015). Contextual variation in young children’s observed disruptive behavior on the DB-DOS: Implications for early identification. Journal of Child Psychology and Psychiatry, 56(9), 1008–1016. Scholar
  79. Preschool and Kindergarten Behavior Scales–Second Edition. (2003). pro-ed.Google Scholar
  80. Rampey, B., Finnegan, R., & Goodman, M. (2016). Skills of U.S. unemployed, young, and older adults in sharper focus: Results from the program for the international assessment of adult competencies (PIAAC) 2012/2014: First look (NCES 2016-039rev). Washington, DC: U.S. Department of Education, National Center for Education Statistics.Google Scholar
  81. Richters, J. E. (1992). Depressed mothers as informants about their children: A critical review of the evidence for distortion. Psychological Bulletin, 112(3), 485–499.CrossRefGoogle Scholar
  82. Ross, G., & Weinberg, S. (2006). Is there a relationship between language delays and behavior and socialization problems in toddlers? Journal of Early Childhood and Infant Psychology, 2, 101–116.Google Scholar
  83. Schechter, D., & Willheim, E. (2009). The effects of violent experiences on infants and young children. In Handbook of infant mental health (3rd ed.). New York, NY: Guilford Press.Google Scholar
  84. Schonwald, A., Huntington, N., Chan, E., Risko, W., & Bridgemohan, C. (2009). Routine developmental screening implemented in urban primary care settings: More evidence of feasibility and effectiveness. Pediatrics, 123(2), 660–668. Scholar
  85. Sheldrick, R. C., Merchant, S., & Perrin, E. C. (2011). Identification of developmental-behavioral problems in primary care: A systematic review. Pediatrics, 128(2), 356–363. Scholar
  86. Sheldrick, R. C., Neger, E. N., & Perrin, E. C. (2012). Concerns about development, behavior, and learning among parents seeking pediatric care. Journal of Developmental and Behavioral Pediatrics, 33(2), 156–160. Scholar
  87. Snyder, J., Cramer, A., Afrank, J., & Patterson, G. R. (2005). The contributions of ineffective discipline and parental hostile attributions of child misbehavior to the development of conduct problems at home and school. Developmental Psychology, 41(1), 30–41. Scholar
  88. Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36(5), 545–566.CrossRefGoogle Scholar
  89. Spence, S. H., Rapee, R., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behaviour Research and Therapy, 39(11), 1293–1316.CrossRefGoogle Scholar
  90. Squires, J., Bricker, D., & Twombly, E. (2015). Ages & stages questionnaires: Social-emotional, second edition (ASQ:SE-2). Baltimore, MD: Brookes Publishing.Google Scholar
  91. The Annie E. Case Foundation. (2018). The 2018 kids count data book. Baltimore, MD: The Annie E. Casey Foundation’s Kids Count Project.
  92. U.S. Department of Health and Human, Health Resources and Services Administration, & Maternal and Child Health Bureau. (2014). The health and well-being of children: A portrait of states and the nation, 2011–2012. Rockville, MD: U.S. Department of Health and Human, Health Resources and Services Administration, & Maternal and Child Health Bureau. Retrieved from Scholar
  93. van Widenfelt, B. M., Treffers, P. D. A., de Beurs, E., Siebelink, B. M., & Koudijs, E. (2005). Translation and cross-cultural adaptation of assessment instruments used in psychological research with children and families. Clinical Child and Family Psychology Review, 8(2), 135–147.CrossRefGoogle Scholar
  94. Wakschlag, L. S., Briggs-Gowan, M. J., Carter, A. S., Hill, C., Danis, B., Keenan, K., et al. (2007). A developmental framework for distinguishing disruptive behavior from normative misbehavior in preschool children. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 48(10), 976–987. Scholar
  95. Wakschlag, L. S., Briggs-Gowan, M. J., Choi, S. W., Nichols, S. R., Kestler, J., Burns, J. L., et al. (2014). Advancing a multidimensional, developmental spectrum approach to preschool disruptive behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 53(1), 82–96.e3. Scholar
  96. Youngstrom, E., Loeber, R., & Stouthamer-Loeber, M. (2000). Patterns and correlates of agreement between parent, teacher, and male adolescent ratings of externalizing and internalizing problems. Journal of Consulting and Clinical Psychology, 68(6), 1038–1050.CrossRefGoogle Scholar
  97. Yu, J. W., Buka, S. L., McCormick, M. C., Fitzmaurice, G. M., & Indurkhya, A. (2006). Behavioral problems and the effects of early intervention on eight-year-old children with learning disabilities. Maternal and Child Health Journal, 10(4), 329–338. Scholar
  98. Zero to Three. (2016). California statewide screening collaborative. Washington, DC: Zero to Three. Retrieved from Scholar
  99. Zuckerman, K. E., Chavez, A. E., & Reeder, J. A. (2017). Decreasing disparities in child development assessment: Identifying and discussing possible delays in the special supplemental nutrition program for women, infants, and children (WIC). Journal of Developmental & Behavioral Pediatrics, 38(5), 301–309. Scholar
  100. Zuckerman, K. E., Mattox, K., Donelan, K., Batbayar, O., Baghaee, A., & Bethell, C. (2013). Pediatrician identification of Latino children at risk for autism spectrum disorder. Pediatrics, 132(3), 445–453. Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Child Health Advocacy InstituteChildren’s National Health SystemWashington, DCUSA
  2. 2.Division of General and Community PediatricsChildren’s National Health SystemWashington, DCUSA
  3. 3.Department of PsychologyUniversity of Massachusetts BostonBostonUSA
  4. 4.Department of PsychologyThe George Washington UniversityWashington, DCUSA

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